C
URRENT
O
PINION
Provision of arts therapies for people with severe
mental illness
Patricia Fenner
a
, Radwa S. Abdelazim
b
, Iris Bra¨uninger
c
, Gitta Strehlow
d
,
and Kathrin Seifert
e
Purpose of review
Arts therapies are still inadequately regulated throughout the world despite a 100-year-long tradition, a
vast number of academically trained therapists and importance in treating psychiatric patients. It is essential
that more evidence-based studies are undertaken.
Recent findings
Current international guidelines focus on the efficacy and effectiveness of arts therapies. New international
evidence-based studies reporting clear-cut therapeutic effects of art therapy, music therapy and dance
movement therapy are described here, with a focus on developments in Australia, Egypt and the United
States.
Summary
Further effort must be put into the development of evidence-based treatment programmes for all arts
therapies, and effort needs to go into the establishment of arts therapists as a profession, with appropriate
training standards.
Keywords
arts therapies, evidence-based studies, patients with severe mental illnesses
INTODUCTION
Arts therapies include the techniques of music
therapy/dance movement therapy (DMT)/art
therapy/theatre therapy and poetic therapy. Arts
therapies utilize art to maintain and restore mental
health [1]. Artistic creativity is considered a univer-
sal anthropological aspect of human nature. The
origins of contemporary arts therapies lie in
the 1920s and have their roots in Europe and the
United States. Across the world, arts therapies are
used in in-patient, out-patient and rehabilitative
institutions among patients with psychiatric and
psychosomatic illnesses.
The German Federal Working Group of Arts
Therapies (Bundesarbeitsgemeinschaft K€ unstleris-
cher Therapien) represents roughly 4000 active
members. Although universities and institutions
for further education have been established in
Germany since 1980, arts therapies struggle with
unresolved regulatory issues concerning full recog-
nition and reimbursement. In 2000, arts therapies
were included into the documentation system
(Operationen- und Prozeduren System) OPS, KTL-
coding (Classification of therapeutic performance in
medical rehabilitation) as independent therapeutic
approaches. Since 2004, the arts therapies have been
implemented into the AMWF guidelines (AWMF
Guidance Manual and Rules for Guideline Develop-
ment) [2,3]. This leads to the question of therapeutic
effectiveness and validation studies. This article
presents recent publications, trends and new evi-
dence concerning arts therapies.
ART THERAPY IN AUSTRALIA AND
UNITED STATES
Advances in art therapy for people with severe
mental illness (SMI) in Australia and the United
States bear some similarities. In considering recent
a
School of Psychology and Public Health, La Trobe University,
Melbourne, Victoria, Australia,
b
Department of Psychiatry, Faculty of
Medicine, Cairo University, Kasr Al Aini Hospital, Cairo, Egypt,
c
University of Applied Sciences of Special Needs Education, Psycho-
motor Therapy, Schaffhauserstrasse, Z€ urich,
d
Clinic of Psychiatry
and Psychotherapy, Bethesda Hospital Bergedorf, Hamburg and
e
Universita¨ tsklinikum Bonn, Bonn, Germany
Correspondence to Kathrin Seifert, Universitatsklinikum Bonn, Bonn,
Germany. E-mail: kathrin.seifert@ukbonn.de
Curr Opin Psychiatry 2017, 30:000–000
DOI:10.1097/YCO.0000000000000338
0951-7367 Copyright ß 2017 Wolters Kluwer Health, Inc. All rights reserved. www.co-psychiatry.com
REVIEW
Copyright © 2017 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited.